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NPI Code Detail

MEDICARE: PETER J. KURZWEIL, M.D., P.C.

MEDICARE: PETER J. KURZWEIL, M.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1215138201
Entity Type Code : Organization
Provider Name (Legal Business Name) : PETER J. KURZWEIL, M.D., P.C.
Provider Business Mailing Address
First Line : 235 FOREST AVE
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2034
Country : US
Telephone Number : 516-671-7770
Fax Number :
Provider Business Practice Location Address
First Line : 235 FOREST AVE
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2034
Country : US
Telephone Number : 516-671-7770
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. PETER J KURZWEIL
Credential : M.D.
Telephone Number : 516-671-7770
Provider Enumeration Date : 05/29/2007
Last Update Date : 09/21/2007

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